| NPI | 1699372953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP3959) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP010840) |
| 235Z00000X Speech-Language Pathologist, (Licence: TN 7287) | |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2023-09-21 |